CEN Practice Test
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1. Preload refers to: b. The volume of blood entering the right side of
the heart
a. The volume of blood entering the
left side of the heart Preload is the volume of blood that enters the right
b. The volume of blood entering the side of the heart. This volume stretches the fibers in
right side of the heart the heart prior to contraction. Preload is commonly
c. The pressure in the venous sys- measured as atrial pressure.
tem that the heart must overcome to
pump the blood
d. The pressure in the arterial sys-
tem that the heart must overcome to
pump the blood
2. The patient is brought to the ED with b. Symptoms began 36 hours before arrival.
an anterior ST-elevation myocardial
infarction (STEMI). You are assessing Fibrinolytic therapy is generally NOT recommended
him for possible administration of fib- for patients whose symptoms began more than
rinolytics. An absolute contraindica- 12 hours before arrival. Fibrinolytics should not
tion for this treatment is: be given if the onset of symptoms was more than
24 hours before arrival UNLESS a posterior MI is
a. The patient's pain is not relieved by diagnosed. In this case, the MI was anterior.
medications.
b. Symptoms began 36 hours before
arrival.
c. The patient has received aspirin in
the last 2 hours.
d. The patient had a previous MI 6
years ago.
3. The team is performing CPR on a pa- c. Ventricular fibrillation
tient. The rhythm that will respond to
an electrical shock is: Ventricular fibrillation and pulseless ventricular
, CEN Practice Test
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tachycardia are the two rhythms that are consid-
a. Asystole ered to be "shockable" cardiac arrest rhythms. Al-
b. PEA though asystole and PEA are cardiac arrest rhythms,
c. Ventricular fibrillation they will not respond to electrical shock.
d. SVT
4. When suctioning during a cardiac ar- b. Less than 10 seconds
rest, suctioning should be limited to
which of the following? According to the 2010 BLS and ACLS guidelines,
suctioning for longer than 10 seconds may result
a. Less than 5 seconds in pulling too much oxygen out of the airways re-
b. Less than 10 seconds sulting in hypoxemia.
c. Less than 20 seconds
d. Less than 30 seconds
5. Possible causes of cardiac arrest in- a. Hypervolemia
clude all of the following EXCEPT:
Common causes of cardiac arrest are known as
a. Hypervolemia the H's and T's and include: hypovolemia (NOT hy-
b. Hypoxia pervolemia), hypoxia, hydrogen ion excess (acido-
c. Hypokalemia sis), hypo or hyperkalemia, hypothermia, tension
d. Tension Pneumothorax pneumothorax, tamponade, toxins, and thrombo-
sis (pulmonary or coronary). Correction of these
causes can often reverse a cardiac arrest.
6. You are providing ventilations using b. Airway obstruction
a Bag-mask device. Suddenly, you do
not see the patient's chest rise with The most likely cause of the failure of the chest to
the ventilation. You reposition the pa- rise during ventilations is an airway obstruction. Al-
tient to ensure an open airway. When though a faulty bag-mask device is a possibility, it is
you attempt to ventilate, you do not unlikely that it would fail in the middle of providing
see his chest rise. The most likely ventilations.
cause of this is:
, CEN Practice Test
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a. The bag-mask device is faulty
b. Airway obstruction
c. The patient has suffered an MI
d. Cardiac tamponade
7. According to American Heart Associa- b. Is no longer recommended.
tion ACLS guidelines, cricoid pressure
during intubation: According to the most current AHA guidelines,
cricoid pressure may delay or prevent placement of
a. Should be done in all cases. an advanced airway so is no longer recommended.
b. Is no longer recommended.
c. Should only be done on children.
d. None of the above.
8. You are providing positive pressure a. Increasing waveform capnography readings
ventilation through an ET tube to a
Latrogenic effects of hyperventilation through an
patient in respiratory distress. Indica-
ET tube include aspiration, stomach insufflation,
tions that you are ventilating too fast
and tension pneumothorax. Increasing waveform
include all of the following EXCEPT:
capnography readings are an indication of efficient
a. Increasing waveform capnography CPR.
readings
b. Stomach insufflation
c. Tension pneumothorax
d. Aspiration
9. According to American Heart Associa- d. Clinical examination and quantitative waveform
tion ACLS guidelines, when available, capnography.
the best way to confirm and maintain
tracheal tube position is by: The AHA recommends continuous waveform
capnography and clinical examination to confirm
a. Clinical examination only. and maintain ET tube position.
Study online at https://quizlet.com/_8pijgi
1. Preload refers to: b. The volume of blood entering the right side of
the heart
a. The volume of blood entering the
left side of the heart Preload is the volume of blood that enters the right
b. The volume of blood entering the side of the heart. This volume stretches the fibers in
right side of the heart the heart prior to contraction. Preload is commonly
c. The pressure in the venous sys- measured as atrial pressure.
tem that the heart must overcome to
pump the blood
d. The pressure in the arterial sys-
tem that the heart must overcome to
pump the blood
2. The patient is brought to the ED with b. Symptoms began 36 hours before arrival.
an anterior ST-elevation myocardial
infarction (STEMI). You are assessing Fibrinolytic therapy is generally NOT recommended
him for possible administration of fib- for patients whose symptoms began more than
rinolytics. An absolute contraindica- 12 hours before arrival. Fibrinolytics should not
tion for this treatment is: be given if the onset of symptoms was more than
24 hours before arrival UNLESS a posterior MI is
a. The patient's pain is not relieved by diagnosed. In this case, the MI was anterior.
medications.
b. Symptoms began 36 hours before
arrival.
c. The patient has received aspirin in
the last 2 hours.
d. The patient had a previous MI 6
years ago.
3. The team is performing CPR on a pa- c. Ventricular fibrillation
tient. The rhythm that will respond to
an electrical shock is: Ventricular fibrillation and pulseless ventricular
, CEN Practice Test
Study online at https://quizlet.com/_8pijgi
tachycardia are the two rhythms that are consid-
a. Asystole ered to be "shockable" cardiac arrest rhythms. Al-
b. PEA though asystole and PEA are cardiac arrest rhythms,
c. Ventricular fibrillation they will not respond to electrical shock.
d. SVT
4. When suctioning during a cardiac ar- b. Less than 10 seconds
rest, suctioning should be limited to
which of the following? According to the 2010 BLS and ACLS guidelines,
suctioning for longer than 10 seconds may result
a. Less than 5 seconds in pulling too much oxygen out of the airways re-
b. Less than 10 seconds sulting in hypoxemia.
c. Less than 20 seconds
d. Less than 30 seconds
5. Possible causes of cardiac arrest in- a. Hypervolemia
clude all of the following EXCEPT:
Common causes of cardiac arrest are known as
a. Hypervolemia the H's and T's and include: hypovolemia (NOT hy-
b. Hypoxia pervolemia), hypoxia, hydrogen ion excess (acido-
c. Hypokalemia sis), hypo or hyperkalemia, hypothermia, tension
d. Tension Pneumothorax pneumothorax, tamponade, toxins, and thrombo-
sis (pulmonary or coronary). Correction of these
causes can often reverse a cardiac arrest.
6. You are providing ventilations using b. Airway obstruction
a Bag-mask device. Suddenly, you do
not see the patient's chest rise with The most likely cause of the failure of the chest to
the ventilation. You reposition the pa- rise during ventilations is an airway obstruction. Al-
tient to ensure an open airway. When though a faulty bag-mask device is a possibility, it is
you attempt to ventilate, you do not unlikely that it would fail in the middle of providing
see his chest rise. The most likely ventilations.
cause of this is:
, CEN Practice Test
Study online at https://quizlet.com/_8pijgi
a. The bag-mask device is faulty
b. Airway obstruction
c. The patient has suffered an MI
d. Cardiac tamponade
7. According to American Heart Associa- b. Is no longer recommended.
tion ACLS guidelines, cricoid pressure
during intubation: According to the most current AHA guidelines,
cricoid pressure may delay or prevent placement of
a. Should be done in all cases. an advanced airway so is no longer recommended.
b. Is no longer recommended.
c. Should only be done on children.
d. None of the above.
8. You are providing positive pressure a. Increasing waveform capnography readings
ventilation through an ET tube to a
Latrogenic effects of hyperventilation through an
patient in respiratory distress. Indica-
ET tube include aspiration, stomach insufflation,
tions that you are ventilating too fast
and tension pneumothorax. Increasing waveform
include all of the following EXCEPT:
capnography readings are an indication of efficient
a. Increasing waveform capnography CPR.
readings
b. Stomach insufflation
c. Tension pneumothorax
d. Aspiration
9. According to American Heart Associa- d. Clinical examination and quantitative waveform
tion ACLS guidelines, when available, capnography.
the best way to confirm and maintain
tracheal tube position is by: The AHA recommends continuous waveform
capnography and clinical examination to confirm
a. Clinical examination only. and maintain ET tube position.
